Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
18216-z
FORM NO. 4 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18563 Date NOVEMBER 13, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1515 SIGSBEE ROAD MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 1989 pursuant to which Building Permit No. 18216-Z dated JUNE 15, 1989 I was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is UNHEATED ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to HAROLD E. DRAIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-087390 - AUGUST 21, 1989 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 F013li NO. 8 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~ g ~ 1. E7 Z Date .....~ca//~S' 19.9 Permission is hereby granted to: / 7 .......:.-..w . _C at premises located at .....1..~`..~1 s........~. ...................L~;'~.................................... !t'r .~..l~L~...................................................... Caunty Tax Map No. 1000 Section ....G.....~~T. Block ...............~~.Z,... Lot No..................~1~. pursuant to application dated ...'~r./A.~C~~.....Q 19........, and approved by the Building Inspector. ' pa Fee ...s~ uildln Inspectar Rev. 6/30/80 . ~ R _ - ~~~7..~~e;~~c ~O TOWN OP SOUTIIOLD 6 0 N ~ ~ BUILTOWN HALLRT2IENT D `2 SOUTIIOLD, NEW YORK ! (971 ~ } u l"/ L jl 765 - 1802 3~ ~ ~ ' t~io~. Derr TOV+I^~ O~ SOr ~77.1t'tLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY r^%~-;~~~ DnTE...1m?.~~/.$~ NEW CONSTRUCTION ......•OLD OR PRE-E%ISTING BUILDING......VACANT LAND...___.. Location of Pro ert 1515 :algsbeO...•.•..-.• .~...+-----.~~.~:1. !_I.~~::T~1. rYr, .~f. P HOUSE NO_ STREET HAMLET i ~ U Owner or Owners of Property.,lt°~1~8. .:~':~,~f~N~l?~/t~-'9,~~f•--•----•••-••--•- Countp Taa Map No. 1000 Section Block Lot......... SubdivisionJJ Filed Map ........Lot.......... Permit No_/~4~.~tf~~..Date of PermiC ........._ApplicanC Health DepC. Approval Underwriters Approval..~~~`~...._.. I PLanninE Board Approval ' Request for Temporary Certificate Final Certificate ~ ~ r7 _ aryl., Fee Submitted: L APPLICANT. i::::''.`:.. tev. IOJ14/88 (3~ac,3S59 Y co3.~85G3 ~ ~ " ~ FORM NO, 6 I! TOWN OF SOUTHOLD BIIILDING DEPARTMENT TOWN HALL CC~~ ~ 765 - 1802 AICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must bellfiled in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from lumber certifying that solder used in system contains less than 2/10 of 1Z lead.' 5. Commercial buildings,'iindustrial buildings, multiple residences and similar. buildings and installations, a certificate of code compliance from the Architect or Engineer responsiblJe for the building. 6. Submit Planning BoardiApproval of completed site plan requirements. B. For existing buildings (Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" land ~lses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicanC. 3. Date of any housing c ide or safety inspection of. buildings or premises, or other pertinent information ';required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. M application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of~~the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the .Building Inspector shall state the reasons therefor in writing to the applicant. -D. FEES: 1. GERTIFZCATE OF OCCUPANCY - New Duelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occl~pancy on pre-existing dwelling - $106.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5. Updated Certificate of Occupancy - $50.00 6. Temporary Certific~pte of Occupancy - $25.00 Residential $50.00 Commercial i I rev, 10/!4/88 I I ~ ~ THE NEW YORK BOARD OF FIRE UNDEF2WRITERS 1400Qv3 BUREAU OF ELECTRICITY I 5 JOHN STREET, NEW YORK. NEW YORK I 096 AC9GCJS~`2.9 , 1939 6~l~31?!)),39I R 1~ {~3?3r3t3 Date Applirtation No. on file THIS CERTIFIES THAT only the electrical equipment as deacrihed belo[a and introduced 6y the applicant named on the shove applicotian numher in the premises of i?1t~,T~fB.. 151.5 S'fGSffFit;. a°~VY~.~ k4~~"1'ftIY;M.; kS,Y. in the follouinq lncat~q~yili ~f1 3s's~,~'q~ l-I Ist Ff. ? 2nd Fl. Ser[ion Blork Lot was examined on and found to 6e in compliance with the requirements u(this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS OUTLETS INCANDESCENT nUORESCENi OYHER AMi. K W AMi K W. AMi N.W. AMT K W AMi H P 1, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi K, W. OIL H. P OAS H. P AMT. NO. A. W. G. AMi PMP. AMT AMPS TRANS. AMT. H P SYSTEMS AMT. WAiiS NO. OF FFET SERVICE DISCONNECT NO.OF S E R Y 1 C E AMi. AMP. TYPE METER I ]W I S. 3W 3,e' 3W 3,e' 4W NO. OF CC COND. A. W G NO OF HI-LEG A. W. O NO OF NEUTRALS A. W G. EQUIP. PER % OF CC.COND OF HI~IEG OF NEUTRAL OTNFR APPARATUS: EsQf;'8 >TI~'C"~k11C SP;RVIChi 1,Tra..~'9~ 2a tTu~r~7,~ ~v~,. F'A7@32JIIiC:!)kLGr', 7fY, J"l.'136 (FENERAF.MANAGER Per - This ceriificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY POR BUILDING DEPARTMENT. TH15 COPY OF CERTIFICATE MUST NOT.BE ALTERED IN ANY MANNER. TEL.'G5-180 ~5~,,°~"~ ~0~~ s TO~Y'IY Or SOUTfIOY.d~ ;;ti~~6iii~~. yw Jc OFl'1Cli OP AUILDING INSPECTOR v~ '!r"t," ~ TOWN IIALL '.`'Oy, Qd f SOUT130Lll, N.Y. 11971 'yot~~r~a. ~ 3,i9$9 Sduww.~ ~~aa~..D~ ~ 71 ~ ~ ~ i J 'Po Whom This, May Concern, D7e arc unable r.o complete your Certificate of_ o/ccunancy because ,of the follocuing reasons. An application f r Certificate of Occupancy is not cn fil.c. ~~c2a7-a-~~ /_~to Underwriters Certificate on file. / / Phc chcc}: i:: •'~~:~cc-~,/not on file.) $ r~.`~+, 0't1 D:o llea].th Dept. Approval on file. No final insl~~ect:ion has bceu made. Pleasr, contact: our office on this matter. - Thank you for your cooperation. tiuil<7ir,r7 Pcnn.i.Y. U `6 ~ Z Builc3inc{ Dc;pt. *.4k/-/ tlo Plumber Soldet: Certificate on file. ( a7.1 permits involving plwnbinc) being .issued after Apri.1 1,1964 ) =15LD I;:SP- LC:iU:i ~llnTr. ~ i;0a`iMENTS ~ . - ~t ~ 9h'.9 r ~ ~ ~ ~ ~ FOUt7DATI0N (1st) - ~ POUNDATIOt1 ( 2nd ) ~ d 2. o G\ ROUGH FRAME & PLUMBING • ~ H 3, x ca m IIJSULATIOtI PER N. Y. '-3 STATE ENERGY COpE 4. ~ ~ H m ~~1 FI;JAL ~ r ~ . ~ ` ADDITIOPJAL COMMENTS: ~ x ~ a7 ~ ^xo H 3Y 9 H O ~ ` m A \ r H T . ty . m ~v H D~~ 7sS-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION iST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [ ]FRAMING - ~ FINAL ~d ~ ) REMARKS: ri?~ DATE ~ ~ U ~ INSPECTOR 765-1802 '~~~~1~,,~ BUILDING DEPT. dd"" INSPECTION [ ]FOUNDATION i5T ( ] ROUGH PLBG. ( ] FOUNDATION 2ND ( ]INSULATION [ ]FRAMING ( ]FINAL ~o REMARKS: ~ ~ ti DATE o~~ INSPECTOR BOARD OF HEALTH ' 3 SETS OFj PLANS FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK lO.~~ . - BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N.Y. 11rJ71 NOTIFY TEL.: 705-1802 CALL MAIL T0: ~v C IG~S Examined•.~~~........, 19~~~jj ~~jj aS4s- MU'n1Tl1UK 12c~ Approved...~~r~..... ,19~!.PermitNo.,<,~2l6•~ SoJUD 13Etge.~{ 117 1'~ ~ ,~7v i Y L~ f t~~~' ~ i Disapproved a/c ,.a.~--. > ~ fir ~ • ,~1N " 8 1989 ~ ~ f (Bu' ing Inspector) BLDG. DEPT. TOWN OF SOUTMOLD APPLICATION FOR BUILDING PERMIT ~j cc~~ Date 194? INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. 1 d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. • e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remo al or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, burl g ode ousing c de 'ons, and to admit authorized inspectors on premises and in building for necessary inspe do s. Lf. (Sign lure oi' applicant, or n me, if a corporation) ..~~~...~~~t~.t'~...~0: • Jade (Mailing address of applicant) 1~~ State whether applicant is owner, lessee, agent, rchitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .:~'~l-a:-!.•••(r.t• !°'T.~••••••••••••••••••••••••••••••••••••••••••• (as on the tax roll or latest deed) I~pl'ca t is a corporation. signature of duly authorized 'officer. (Name and title of corporate o~f/f(icfer) Builder's License No. pp~~~. ! • < Plumber's License No. ..N.'(t/~~ , Electrician's License No. . '~y~ Ijl'' . Other Trades License No. • • • • 1, Location of land on which proposed work will be done . . House Number Street ~7 Hamlet 1© County Tax >\-ta`p /Na/~1.000 Scctiott 1 • • • • • • • • • • Block Lot . 1:-!`r', , , , , , Subdivision ..,~1•~lT Filed n{alp No. Lot (Name) 2. State existing use and occupancy of premises and intended use :utd occupancy of proposed construction: a. Existing use and occupancy • • C~• • • • •~Y' :,•y • • • ` :t~• lC fI ~.~f:~.y7..~..:. b. Intended use and occupancy 3. Nature of work (check which applicable): New DuilJing ...I!..~..... Addition . Y • • • • • • • Alteration . Repair Removal , , Demolition Other Work . ~f /'~j ? (Description) 4. Estimated Cos. !~~Y l Fee . (to~~ be paid on Cling this application) 5. If dwelling, number of dwellin,,FF units Number of dwelling Units on each floor . If garage. number of cars '.(1 l . ~ J~ 6. If business, commercial or mixed occupancy, specify nature end extent of ea~yh'type,of use ,/.1J~.~, r, . , , 7. Dimensions of existing stnrctures, if any: Front i Rear , .L.(~: Depth , , , Height l............ Number of Stories , .L , , , , , , Dimensions of same structure with alterations r ~lditions: Front ..~u, a:-:'I Rear ...~2°.~-, , , , . Depth .C7.......... height NumbcY~ of Stories , , , . ' 8. Dimensions of enn~tifc new construction: Front Rear ....~Q ~ Depth L~{....... . Height f. S. Number of Stories 1.. ' • . , . 9. Size of lot: Front ..4.p; ~ Rear ..~7. ' 2.~ : . Depth .~.i¢Q . 10. Date of Purchase .............................Namel,ofFormer OwneY I 1 • Zone or use district in which premises are situated ~ i~ i ' 12. Does proposed construction violate any zoning law, ordinance or regulation: • , . 13. Will lot be regraded ,+,~,p. - f ...........Will excess fill be emdved from premises: es No ' 14. Name of Owner of premises :.~R-1 , Addresl~ . G~.~~.. ~b~p1:~ ....Phone No . . . Name of Architect .Address .Phone No ' Name of Contractor ~T(:~~~.~t,1~~-..~~~, .Address ~•7D.. ~(~[7~• .Phone No.... . IS.Is this property located within 300 feet%of a tidal wetland? ^YES..,~0':ll.. *If yes, Southold Town Trustees Permit malt' be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing br proposed, and~,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. , t ~ ~ ~ ~ _~'i~ Jam"'. ~ ~I S ~'~~~Cal ~~O~°f' ~X~~~~~°T~ ~y~w ~ [fir ~,~~I~~~ . , . STATE OP NEW YO K, S.S COUNTY OF • .CLQ-dl~L~.4~ being duly sworn, de¢ n .............P:. . oses and'says that'he is'the applicant (Nome of individual signing contract) ~ I ~ ltt'n,> above named./~ Q ~ ~ $ . He is the...'.°?'`rr'lZ:-(~G~ (Contractor,/Sri corporate officer, etc)• of said owner or owners, and is duly authorized to per or have performed the 'said work and to make and file this application; chat all statements contained in this application are true to the best of ]t~is knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. , Sworn to before me this y u~........ .da of.. 19 Notary Publia~~~-c~-.,~~.~~'f, n«. •County . McCARRICK ~ LAURA M. NOTARY PUBLIC, State of New York No. A709209, Suffolk Counly.. (Si,nature of applicant) Term Explics~~i'a0, 1 ~ rw•,„~.. ,n,„ ~ 'd1 ;4' .i i . mom..., w:~nr.~p„ 77 a • f,, w..,. ~ • .,.„.r.. avY I .`~1W v f i rvHbb1'J°J D71/! i(i .YIK"1'J-}j ~L N: s t ~.~(r~y/N y_~~,.,~,~i Yitl Ji U,i ~11N YtlVn9 r •ro~• sr~.~y.~ .~'rvbvv / v //vS7s0/• ao/ HaoA MaN 'y/ N.a~vw aaAanans 3n~ow~iv~ o saN~:aow aaiNao aoA3nans A N AANn00 M~OyIOS 070H1/.t9S 10 NM91 ar 'w~aN~~nn aavr+~~a ssa~!/l~sv 3••nys ua3doad do dvw aaAVO•ar o'vrv cN+ 9?6/ '2/ .S2Wiavr •MY CA'1Jr'ioY.IbfrY J/~MH Jrv".YRL/L1b/Y ~oaWw O~DNDN'b 9N[L NO N.UpvY. a16pKL aL Mg.Y~ C6fl'lVW.iV lOf : s^lAY •~yyj n k I4 G1G Oss~ M, 22.69 S ~ } y s x z ~ ~ ~ m ZO ,may ' i -yZ'~b su ~ st.v ~ ~ \ !_J x u 8 ~ ~ $ a q v " ~ L Gi'J'PD'/ ~,22,69N 2 ~ o a ~ u ~ w • OdOb~ N/d,~t~ ' -